title: [Organization and results of ambulatory surgery for inguinal hernia].
abstract: The results of a reorganization of surgery for inguinal hernias within a department of surgical gastroenterology were assessed concerning staff simplifications, feasibility, patient satisfaction, safety, complications and resources. Five hundred consecutive, elective, open operations for unilateral reducible inguinal hernias were performed in 466 patients under local anaesthesia in an ambulatory setup. One hundred and fourteen of the operations were for a recurrent hernia. The median age was 60 years (44-74 years as 25% and 75% quartiles). Two of the operations were converted to general anaesthesia. The patients were discharged 85 min (median) post-operatively, but 12 patients were not discharged on the same day. Bleeding or wound infections in need of treatment were seen postoperatively in 1.6% and 1.6%, respectively. All patients were given a postoperative questionnaires with a response rate of 95%, 89% of the respondents were satisfied with the whole procedure, 11% were dissatisfied. A reorganization of surgery for inguinal hernias to a standardized ambulatory setup induced staff simplifications and saved resources with a preserved high patient satisfaction, safety and a low complication rate.
authors.affiliation: H:S Hvidovre Hospital, kirurgisk gastroenterologisk afdeling.
authors.forename: K
authors.initials: K
authors.lastname: Bech
authors.forename: T
authors.initials: T
authors.lastname: Callesen
authors.forename: R
authors.initials: R
authors.lastname: Nielsen
authors.forename: O
authors.initials: O
authors.lastname: Roikjaer
authors.forename: J
authors.initials: J
authors.lastname: Andersen
authors.forename: P
authors.initials: P
authors.lastname: Hesselfeldt
authors.forename: H
authors.initials: H
authors.lastname: Kehlet
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000592:standards*; D003718:Denmark; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D013503:Surgery Department, Hospital / Q000458:organization & administration / Q000592:standards; D011795:Surveys and Questionnaires; D000078329:Workforce
vernacular_title: Organisation og resultater af ambulant kirurgi for hernia inguinalis.